| NPI | 1235333626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MA 235179) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: OH 58001163) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2008-07-14 |